The efficacy of acupressure to prevent nausea and vomiting in post-operative patients

J Adv Nurs. 2002 Aug;39(4):343-51. doi: 10.1046/j.1365-2648.2002.02295.x.

Abstract

Background: Post-operative nausea and vomiting is a common complication following general anaesthesia. Traditional Chinese medicine indicates that acupressure therapy may reduce nausea and vomiting in certain ailments.

Aim(s) of the study: The aim of this study was to examine the effect of stimulating two acupressure points on prevention of post-operative nausea and vomiting.

Design and methods: A randomized block experimental design was used. The Rhodes Index of Nausea, Vomiting and Retching (INVR) questionnaire was used as a tool to measure incidence. To control the motion sickness variable, the subjects who underwent functional endoscopic sinus surgery (FESS) under general anaesthesia were randomly assigned to a finger-pressing group, a wrist-band group, and a control group. There were 150 subjects in total with each group consisting of 50 subjects. The acupoints and treatment times were similar in the finger-pressing group and wrist-band pressing group, whereas only conversation was employed in the control group.

Results: Significant differences in the incidence of the post-operative nausea and vomiting were found between the acupressure, wrist-band, and control groups, with a reduction in the incidence rate of nausea from 73.0% to 43.2% and vomiting incidence rate from 90.5% to 42.9% in the former. The amount of vomitus and the degree of discomfort were, respectively, less and lower in the former group.

Conclusion: In view of the total absence of side-effects in acupressure, its application is worthy of use. This study confirmed the effectiveness of acupressure in preventing post-operative nausea and vomiting.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial

MeSH terms

  • Acupressure*
  • Adolescent
  • Adult
  • Aged
  • Anxiety / diagnosis
  • Female
  • Humans
  • Male
  • Middle Aged
  • Postoperative Nausea and Vomiting / prevention & control*
  • Postoperative Nausea and Vomiting / psychology
  • Psychiatric Status Rating Scales
  • Treatment Outcome